S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific HHA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 337024 L. Woerner, Inc. 176 Us Oval, Suite 3 Plattsburgh NY 2 (New York) 11/30/2018 E6FO11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0572 Plan of care Standard
G1010 Contents of clinical record Standard
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 337030 Suffolk County Dept Of Health Services Bureau Of Public Health Nursing Chha 3500 Sunrise Highway Bldg 300 Great River NY 2 (New York) 10/24/2024 64754-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0658 Performance improvement projects Standard
G0548 Within 48 hours of the patient's return Element
G0614 Visit schedule Element
G0718 Communication with physicians Element
▼ 337030 Suffolk County Dept Of Health Services Bureau Of Public Health Nursing Chha 3500 Sunrise Highway Bldg 300 Great River NY 2 (New York) 11/16/2018 8HKO11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0574 Plan of care must include the following Element
G0984 In accordance with current clinical practice Element
▼ 337042 Westchester Co Doh Chha 145 Huguenot Street New Rochelle NY 2 (New York) 09/06/2019 XF9X11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
▼ 337045 Warren Co Hlth Svs Chha 1340 State Route 9 Lake George NY 2 (New York) 05/20/2026 66860-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G1012 Required items in clinical record Element
▼ 337045 Warren Co Hlth Svs Chha 1340 State Route 9 Lake George NY 2 (New York) 06/26/2025 66860-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
▼ 337045 Warren Co Hlth Svs Chha 1340 State Route 9 Lake George NY 2 (New York) 09/08/2022 4F5F8-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G1022 Discharge and transfer summaries Element
▼ 337045 Warren Co Hlth Svs Chha 1340 State Route 9 Lake George NY 2 (New York) 11/08/2019 P96B11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
▼ 337052 Visiting Nurse Association Of Central New York, Inc. 1050 West Genesee Street Syracuse NY 2 (New York) 12/30/2022 5E968-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0798 Home health aide assignments and duties Standard
G0608 Coordinate care delivery Element
▼ 337054 Otsego Snf Operations Associates, Llc 128 Phoenix Mills Cross Road Cooperstown NY 2 (New York) 03/25/2021 JQT411 Complaint, Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G1010 Contents of clinical record Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element